SAFIYYA S SHABAZZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158650

License Status

ACTIVE

Business

Title

First Name

SAFIYYA

Middle

Last Name

SHABAZZ

Business Name

SAFIYYA S SHABAZZ MD

Original Issue Date

10/29/2021

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

PHILADELPHIA

State

Zip

19119

Ever Disciplined

LastModifiedDate

06/09/2023